Indiana
Professional Licensing Agency
JOHN EDWARD DE PERSIO
Controlled Substance Registration - Physician
License number
01048377B
Date granted
07/24/1998
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
LA PORTE HOSPITAL, 1007 LINCOLNWAY, LA PORTE IN 46350
indianalicensing.org
ID 5878106
LAST UPDATED 2024-02-13 13:27:57 UTC
LAST UPDATED 2024-02-13 13:27:57 UTC
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